VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

Total Manufacturer
46,870MODERNA
532GLAXOSMITHKLINE BIOLOGICALS
353PFIZER\BIONTECH
231MERCK & CO. INC.
221UNKNOWN MANUFACTURER
62SEQIRUS, INC.
25DYNAVAX TECHNOLOGIES CORPORATION
13EMERGENT BIOSOLUTIONS
12SANOFI PASTEUR
9NOVARTIS VACCINES AND DIAGNOSTICS
5PFIZER\WYETH
5PAXVAX
2TEVA PHARMACEUTICALS
2PROTEIN SCIENCES CORPORATION
1BERNA BIOTECH, LTD.
1INTERCELL AG
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL1,906
1,575
289
IMM209286
252
236
229
s029456178
171
UT7065MA166
155
149
145
S034636133
107
U62828AA103
100
98
P10025327596
U6737AA85
UJ446AA79
78
78
59
57
4BH3254
4F47253
52
27656352
50
PP9L548
49TM346
42
40
38
MENVEO38
4F47237
R1B252M36
34
C5763AA30
93362229
25
300057A24
UNK24
22
CW311621
18
17
15
UH894AB15
3Y7NL12
R1B743M12
EJ168611
el128410
10
10
10
9
ARBA141A9
UNK9
8
UNK8
8
1F4EB8
Unknown7
7
No batch number6
5
5
UJ090AA5
5
5
4
4
4
UNK4
JEV18K95E4
UNK3
A115A3
Z127A3
3
3333324181073
2
2
2
TAR352
1
1
1
1
1
A739081
1
1
1
1
1
037K20A68,542
EL128447,700
133

Incidents per State

State Total
15,185
CA14,096
NY7,507
TX7,196
FL6,939
IN5,527
PA4,560
IL4,179
OH4,054
AZ3,856
MI3,771
NJ3,411
MA3,278
VA3,208
NC3,114
WA3,034
GA2,864
MD2,652
MN2,534
CO2,532
WI2,457
MO2,029
OR1,943
TN1,715
CT1,693
KY1,603
OK1,226
AL1,201
KS1,162
IA1,157
SC1,106
NM1,065
UT973
AR951
LA945
NE829
NV797
ME795
MT789
NH756
ID674
AK661
WV661
PR650
MS585
HI536
RI510
VT441
SD361
ND356
DE350
DC239
WY209
GU32
AS16
VI13
MP9
MH3
FM2
QM1
XB1

ID: 1020871
Sex: F
Age: 60
State: CT

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: Penicillin, Keflex, Sulfa, Minocin

Symptoms: Moderna COVID-19 Vaccine EUA 2/2/21 2:30am. - 7a.m. severe shaking chills 2/2/21 7a.m. - 2/3/21 4:30pm elevated temp 101.4 ( with peak 101.9) with progressing body aches. Tylenol 1000mg helped w/aches for about 2 hours but not temp. 2/3 muscle/body aches compounded by joint swelling/ pain generalized but knees, feet, hands were the worst. 2/3/21 4:30pm 2/4 2:30 pm elevated temp ranging 100 - 100.7 muscles aches. late in the day 2/4 was the first time I could climb stairs (joint pain) and Friday 2/5 was the 1st day I didn't have to use a tool to open my milk jug. Then suddenly Fri evening everything seemed to suddenly resolve except muscle aches in gluteals and flanks bilaterally.

Other Meds: Gralise, Plaquenil, vit D3, aspirin 81mg

Current Illness: Rheumatoid Arthritis, Migraine Headaches

ID: 1020872
Sex: M
Age: 65
State: WA

Vax Date: 01/20/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1020873
Sex: F
Age: 67
State: OH

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Cerebral stroke. Symptoms onset was documented by nursing home staff on 1/13/21. Second dose of vaccine was received on 1/12/21. I am unsure at this time if it was the Pfizer or Moderna vaccine. Patient has severe defecits at this time but the brain is still healing. Several weeks in the hospital, patient now has peg tube and picc line. Flaccid right side and speech severely impacted.

Other Meds:

Current Illness:

ID: 1020874
Sex: M
Age: 40
State: CA

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: It was the weekend. I did not go in. I just graded it out.

Allergies: Penicillin I am on a low fodmap diet

Symptoms: Received the following symptoms starting 15 hours after the vaccine. Full body fatigue. Could not stand up for two hours from my bed. This was followed by body aches pains and chills. It also included heightened skin sensitivity. Physical touch and contact on anywhere but my palms in the pads of my feet was extremely painful. The best example I can give is, taking a shower was like getting shot at by multiple BB gun pellets. At 1450 PST, I experience shortness of breath and wheezing. Struggled to walk up 12 steps. Continued with migraine. Weakness in body. Pain and body. Skin sensitive until about 36 hours after the vaccine. Did not try walking up and down stairs again, but breathing was slightly challenged Until about 30 hour mark. Struggled with migraines from The 24 hour mark until the 48 hour mark.It was the weekend. I did not go in. I just graded it out. Fatigue lasted all the way until the 48 hour mark. Funny enough? I did not developed a sore arm symptom.

Other Meds: Pepcid. Dicyclomine. Was not on any of these gastrointestinal medication at the time of the reaction

Current Illness: No illnesses

ID: 1020875
Sex: M
Age: 0
State: KS

Vax Date: 10/29/2018
Onset Date: 11/01/2018
Rec V Date: 02/10/2021
Hospital:

Lab Data: Multiple exams were performed.

Allergies: None

Symptoms: Area of hair loss was reported. First course of treatment was to send with clavamox 125mg tabs to give twice daily for 10 days, as well as Miconazole Cream and Dermalone Cream to be applied alternatavely three times daily. The animal was later sent with Pentoxyphylline 14mg capsules given by mouth twice daily for 30 days. Area of hair loss has not improved.

Other Meds: None

Current Illness: None

ID: 1020876
Sex: F
Age: 70
State: PA

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: sulfa, contrast dye, morphine

Symptoms: 2/4/2021 rash appeared on site of injection. Area became inflamed , itchy , sore and swollen. started taking Benadryl and applied cortisone cream. Saw family PCP 4 days into reaction, told her how I was treating the area and was told to continue the same treatment

Other Meds: none

Current Illness: none

ID: 1020877
Sex: F
Age: 43
State: PA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: I was a healthy pregnant woman age 43 who was 11 weeks 2 days pregnant. I was having a normal pregnancy with no complications. I'm in healthcare and in the operating often for airway and ENT procedures. I received my shot at 9:00am on 1/29/20201 and began spotting at 11:00am. The spotting continued (very light) until 9:00pm. I decided to go to bed since I wasn't feeling well. I woke at 2:00am with contractions and heavy bleeding. I went to the ED at 3:00am on 1/30 to confirm my miscarriage. I weighed 121 at the ED when triaged. My EDD was 08/19/2021

Other Meds: Pre-natal vitamins

Current Illness: none

ID: 1020878
Sex: F
Age: 67
State: IL

Vax Date: 02/10/2021
Onset Date: 02/01/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Left arm soreness

Other Meds: Metformin

Current Illness: None

ID: 1020879
Sex: F
Age: 37
State: VA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Seasonal

Symptoms: At approximately 2:30 pm on 2/4/21, I developed a headache and arm pain. The headache remained of constant intensity until it resolved late in the evening on 2/5/21. It was located toward the front of my head and felt like dull sinus pressure. The arm pain started out light and intensified throughout the evening, with the height of the pain occurring late in the evening of 2/4. The pain radiated to my shoulder and lower neck, depending on it's positioning. It was difficult to sleep the night of 2/4. This pain eventually resolved completely on the morning of 2/8. During the afternoon of 2/5, I noticed a red, raised, slightly itchy "rash" on my arm about 2 inches below the injection site. It was painful also. The morning of 2/6, I noticed another small patch below it and by the evening of 2/7 I also had a small patch on my hand. All areas have resolved as of 2/10/21.

Other Meds: Birth control

Current Illness: N/A

ID: 1020880
Sex: F
Age: 38
State: VT

Vax Date: 01/06/2021
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Lyme test pending but no known exposure

Allergies: seasonal allergies, NKDA

Symptoms: Bells Palsy, R side of face, onset 2/2/21

Other Meds: albuterol prn, fluticasone nasal spray prn

Current Illness: none

ID: 1020881
Sex: F
Age: 31
State: AR

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Patient was transported to hospital via ambulance.

Allergies: none listed

Symptoms: Patient received vaccination at 1:45 P.M. At 1;50 p.m. the patient collapsed. Her throat and tongue were swelling and she was having trouble breathing. She was not unconscious. At 1:52 p.m., epinephrine 0.3mg was administered to patient. She began to recover and swelling started decreasing, She was able to breath again. Shortly after this, the patient began to have more swelling of throat and tongue. Another dose of epinephrine 0.3mg was administered at 1:55 p.m. Again, the epinephrine worked quickly and patient was able to breathe again. The ambulance arrived and took patient to local medical facility.

Other Meds: none listed

Current Illness: none listed; some tachycardia with first vaccination

ID: 1020882
Sex: F
Age: 42
State: NY

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Fever, chills, headache, nausea

Other Meds: BCP's Lutera 20mcg-100mcg

Current Illness: None

ID: 1020883
Sex: F
Age: 74
State: NC

Vax Date: 01/18/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Extreme fatigue, extreme dizziness, loss of appetite, fever of just over 102, muscle ache

Other Meds: Vitamin D3 baby aspirin

Current Illness: none

ID: 1020884
Sex: M
Age: 62
State: KS

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Pain in upper left arm, approx 2 hrs after injection. Nausea, headache, light-headedness: approx 21.5 hours after injection

Other Meds: Alfuzosin ER 10mg tablets, 1/day in morning Oxybutynin ER 10 mg tablets, 1 each morning Finasteride 5mg tablets, 1 each morning Atorvastatin 20mg tablets, 1 per day at bedtime 81 mg low-dose aspirin, 2/day, morning, evening (for prevention

Current Illness: None

ID: 1020885
Sex: F
Age: 62
State: OH

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None reported

Allergies: Sensitivity to Sulfa Drugs and Shell Fish

Symptoms: 2/2/21 Flu like aches: vomiting and diarrhea, fatigue and headache. 2/3/21 Nausea, disorientation, and headache. Slept off and on. 2/4/21 Tiredness and headache. Took Benadryl 2/5/21 Body aches and fatigue. Foggy brain. Took Benadryl. 2/6/21 Sore throat, body aches, and fatigue.

Other Meds: Ibuprofen Allegra Flonase Adderall

Current Illness: Ear Ache/Sinus pain with drainage

ID: 1020886
Sex: M
Age: 51
State: FL

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: EKG and bloodwork on 1/22/21

Allergies: NKDA No food allergies or allergies to other products

Symptoms: Severe bloody nose, diaphoresis, dizziness. No history of nosebleeds. Occurred 7 hours after receiving 1st dose of Phizer vaccine. Presented to ER. EKG and bloodwork within normal limits.

Other Meds: Atenolol Atorvastatin Lumigan drops

Current Illness: None

ID: 1020887
Sex: F
Age: 69
State: NH

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: fever, chills, fatigue and body aches. Also a hypersensitivity reaction just below the injection site. The first symptoms went away within 3 days. The hypersensitivity reaction (extreme redness, heat and pain) lasted almost a full week but eventually went away.

Other Meds: metformin ER, glimepiride, hydrochlorothiazide, paroxetine, benazepril, oxybutynin

Current Illness:

ID: 1020888
Sex: F
Age: 24
State: IN

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Cold chills for 6 hours, fever for 24, headache for 24 hours, body aches for 24 hours, trouble deep breathing next day for 12 hours

Other Meds: None

Current Illness: None

ID: 1020889
Sex: F
Age: 43
State: IL

Vax Date: 01/23/2021
Onset Date: 01/29/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Amoxicillin Levofloxacin Sulfamethoxazole trimethoprim Poison ivy Cats

Symptoms: About 6 days after my vaccination, the injection site became beet red, hot, and hard. Then there was a huge area around the site that was pink. It was uncomfortable/sore and itchy.

Other Meds: Junel (birth control pill) Vitamin D Vitamin B12 Baby aspirin

Current Illness: None

ID: 1020890
Sex: F
Age: 60
State: MA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: No

Symptoms: I developed a massive headache approximately 7 hours after the injection and chills, fever, all over body pain, joint pain 15 hours after the injection. These symptoms lasted for 2 1/2 days followed by extreme exhaustion and headaches. Mostly recovered to date but extremely anxious about getting 2nd dose for fear of more extreme adverse reaction.

Other Meds: Omeprazole 20 mg, Gabapentin 300mg, Mobec

Current Illness: None

ID: 1020891
Sex: M
Age: 67
State: CA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: PCN, shrimp, thimersal

Symptoms: Tingling/numbness of left foot. Improving after half an hour of waiting. No weakness. Pt has diabetes and has had similar symptoms from that as well. He has a nuerologist he follows with and will schedule a follow up . #9 please add atrovast. and hydocchlorothiazide. #21. refer to his neurologist.

Other Meds: allupurinol, clupidogrel,atenolol kappra, famotidine, metformi

Current Illness: Gout, diabetes, stroke, high blood pressure.

ID: 1020892
Sex: F
Age: 72
State: CA

Vax Date: 01/26/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Only test was the X-Ray of my left shoulder.

Allergies: Morphine, (hives) ciprofloxacin (hives), Bananas (anaphylaxis)

Symptoms: Very severe left arm pain, throbbing along entire course of humerus bone and down ulna/radius into wrist. Pain was so severe my blood pressure shot up very high, I couldn't stop hyperventilating, and my husband had to take me to the emergency room. They gave me dilaudid and a prescription for Percocet. An X-ray was taken which showed only pre-existing arthritis of shoulder joint. My doctor told me this was very characteristic of "Covid Arm" others had experienced with the Moderna vaccine.

Other Meds: Eliquis, metoprolos, Atorvastatin, Potassium Chloride, Venlafaxine, Clonidine

Current Illness: None

ID: 1020893
Sex: F
Age: 52
State: CT

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: Amoxycillin

Symptoms: Got the vaccine at 9:15 am on Monday. Around 3 pm I started feeling pain in my arm, running down into my fingers, and had trouble lifting my arm. I began to feel muscle aches in my body. By 7 pm I had severe shakes and shivers with teeth chattering uncontrollably. Severe chills. I could not lift my arm above shoulder level and felt like I'd been punched hard in the shoulder. It was hard to move my body from a seated position or move when I was lying down because of the pain in my arm. Around 10 pm I began to have nausea but did not vomit. At 4 am I awoke and had mild diarrhea. I thought I might pass out. Throughout the night I was sweating excessively, although I did not have a fever. By 8:30 am on Tuesday the shakes and chills had reduced to a moderate level. I had to call in sick to work. I had muscle aches, pain in my arm that continued to radiate to my hand, and continued to sweat. I felt fatigue and slept most of the day. I had a headache. I continued to have some nausea and diarrhea. My appetite was very reduced. I went to sleep with the chills at 6:30 pm. I continued to sweat through my night clothes. When I awoke around 6:30 am on Wednesday morning, I had a headache and was very shaky (I have an essential tremor that is normally mild and it was very bad in the morning). I had very low energy. I ate breakfast and noted that my appetite had not completely returned, but I didn't feel nausea. The headache continued until I took 2 Advil around 11 am. I felt progressively better over the course of the day, returning to almost normal by around 5 pm.

Other Meds: none

Current Illness: none

ID: 1020894
Sex: F
Age: 24
State: VA

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: I was vaccinated on 1/19/21 and had no symptoms the first 48 hours. On the 3rd day through the 5th day I had a non stop headache and extreme body fatigue.

Other Meds:

Current Illness:

ID: 1020895
Sex: F
Age: 75
State: FL

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: trees and grass

Symptoms: I woke Sunday at 5AM after shot on Saturday at 1 PM with really bad headache. took 2 Ibuprofen . went back to bed. Was able to sleep. Woke about 8:30 AM and felt I needed to check my temperature. It was 99.9 and I have run about 97.6 normally for several yrs now. My left arm where shot was given was swollen about size of a walnut, with a red rectangle which lasted through Tuesday. Arm still somewhat swollen on Wednesday-today. I didn't feel rea well Sunday thru Tuesday. Arm still bit swollen on Wednesday , redness is gone .

Other Meds: Lorsartan -100 mg /daily Memantine 20 mg daily Citracal _over the counter Vitamin D/gel - 2 daily

Current Illness: none

ID: 1020896
Sex: F
Age: 32
State: MA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Patient reported dizziness immediately after injection. Patient has a history of vasovagal response to injection. Patient was placed in recumbent position, given fluids, and a granola bar. Patient reported improvement in dizziness after 45 minutes of monitoring. Patient ambulated around gymnasium without issue. Patient reported that she felt better. BP 108/78. Patient reports that this her normal pressure.

Other Meds:

Current Illness:

ID: 1020897
Sex: F
Age: 92
State: OK

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: none

Allergies: Azithromycin; Beclomethasone; Carisoprodol; Cipro; Clindamycin

Symptoms: Injection site is very bruised and swollen with some pain. Ice applied and Tylenol given

Other Meds: Albuterol HFA 109mcg/act;Albuterol Nebulizer 2.5mg/3ml;

Current Illness: None

ID: 1020898
Sex: M
Age: 61
State: AR

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data: Labs panels- CBC, BMP, LFTs, PCT, coagulation studies, COVID PCR testing. CT head

Allergies: None

Symptoms: Within 24hrs fever, malaise, progressive weakness beginning in the lower extremities and advancing proximally to affect arms. Severe neuropathy

Other Meds: Rosuvastatin, HCTZ, nifedipine, albuterol prn, tylenol prn, guiafenissen prn

Current Illness: Rash to the face and chest 6 weeks prior 12/10/20

ID: 1020899
Sex: M
Age: 71
State: MI

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None, EMS reviewed medical history with patient

Allergies: Prednisone

Symptoms: Pt stated he feels tingling and numbness in both arms and chest

Other Meds: Unknown

Current Illness: N/A

ID: 1020900
Sex: M
Age: 36
State: NY

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: x ray done, instructed to alternate heat and cold and okay to continue 400mg every 8 hours as needed.

Allergies: unknown

Symptoms: c/o not being able to move left arm, had extreme pain for two weeks post vaccination, went to the Dr. on 1/25 because the pain would not go away.

Other Meds: unknown

Current Illness: unknown

ID: 1020901
Sex: F
Age: 51
State: WI

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Blood work

Allergies: Sulfa drugs, Wheats and corn.

Symptoms: Had heart palpitations. I went into my family doctor. Day after vaccination. Got cold sores.

Other Meds: Metformin, sybastatin, amalotrmine, buspar, lysentapril, Tylenol.

Current Illness:

ID: 1020902
Sex: M
Age: 64
State: NM

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None as of this date.

Allergies: Sulpha

Symptoms: Extreme joint pain/achiness over entire body; extreme fatigue; fever that ran from low grade up to 101.5; cloudy peripheral vision (cloudy vision only lasted about 30 minutes). Fever does respond some to ibuprofen, but ibuprofen does not help joint pain or achiness.

Other Meds: Bupropion 200 mg; Rosuvastatin 20 mg; Citalopram 40 mg; Amlodip/valsa 10-320 mg; Prilosec; Ibuprofen

Current Illness: None

ID: 1020903
Sex: F
Age: 30
State: MT

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Developed COVID symptoms (cough, sore throat, aches, fever, chills) next day. However I found out I was exposed to a person who tested positive for COVID. See timeline below: exposed to covid positive individual: 2/2/2021 receive vaccine:2/5/2021 experience symptoms: 2/6/2021 find out the person tests positive: 2/7/2021 test negative on rapid: 2/8/2021 positive results from PCR: 2/10/2021

Other Meds:

Current Illness:

ID: 1020904
Sex: F
Age: 49
State: TX

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Penicillin Sulfa Erythromycin

Symptoms: Facial Swelling Fever Aches

Other Meds: Sertraline Tramadol Ambien Facial fillers

Current Illness:

ID: 1020905
Sex: F
Age: 46
State: NY

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: Have photos to upload

Allergies: Codeine, sulfa

Symptoms: Slightly raised rash that was morbilliform, diffuse on anterior chest first then back, then right flank. Only on trunk no appendicular issues. Some of this dermatogrqohic in the scalp and base of neck. When scratching in office, there was a post auticular rash. In office there was flank rash and truncal issues too was increasingly dermatograohic

Other Meds: Cyclopenzaprine, omeorazole bicarbonate, monthly Emgality pen, amittiptyline, atenolol, metformin, Armoir thyroid, vitamin d, Livalo, Fluvoxamine

Current Illness: None

ID: 1020906
Sex: F
Age: 69
State: NY

Vax Date: 01/31/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Iodine

Symptoms: Rash - swollen- itchy - red -- at injection site- 3-4 inches diameter - very red for 48 hours- after 48 hours, better , getting back to normal slowly- No pain- no fever

Other Meds: Arimidex Vitamin D- Vitamins AREd2

Current Illness:

ID: 1020907
Sex: F
Age: 29
State: SC

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None COVID - 26th (routine weekly test for work)

Allergies: Metformin

Symptoms: Soreness in arm started about an hour or hour an half after vaccine - pain in arm ( just like what I felt after my first vaccine). 8:30 pm that night - body aches; chills; hot and cold on and off on through the night. Next day, runny nose, coughing a little bit, felt body aches and chills again. Did not have a fever. That lasted that whole second day along with a lot of tiredness. The third day - only symptoms I only felt body aches with some tiredness. Fourth day - felt pretty much back to normal with everything. Virtual doctor visit with URGENT CARE facility (on 27th). Video call with a doctor. Dr advised me that I was experiencing symptoms associated with second dose of vaccine so there wasn't much to prescribe and she didn't. I got a COVID test on the 26th because we do testing every week for work and that result was negative.

Other Meds: Insulin

Current Illness: no

ID: 1020908
Sex: F
Age: 43
State: OR

Vax Date: 01/31/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Ivory soap

Symptoms: My arm became hot, swollen, and itchy at the injection site. For several days it had a raised red circular mark around the injection site. On the third day it stopped.

Other Meds: Synthroid Calms Forte Daily vitamin Zinc Magnesium

Current Illness: None

ID: 1020909
Sex: F
Age: 37
State: MI

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: DHE Trileptal Penicillin Adhesives Bees

Symptoms: Within a few minutes had hives, itching, some swelling in lips and eyes. For 48 hours afterwards had low grade temp (100.1), diarrhea, chills, body aches, exhaustion.

Other Meds: Novolog insulin Lamotrogine Fluoxetine Trazodone Sim a statin Calcium Daily multi vitamin B12 Biotin Famotidine

Current Illness: Viral laryngitis the week before

ID: 1020910
Sex: F
Age: 74
State: CA

Vax Date: 01/24/2021
Onset Date: 01/31/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Localized reaction with erythema, warmth, and mild tenderness which started one week after administration of vaccination.

Other Meds: Multiple vitamin, Vitamin D, Vitamin C, Ferrous sulfate

Current Illness: None

ID: 1020911
Sex: F
Age: 42
State: UT

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Severe myalgia started after my 2nd dose of COVID vaccine. I've been experiencing muscle and joint pain since 2nd week of January.

Other Meds: Bupropion, escitalopram, buspirone.

Current Illness: None

ID: 1020912
Sex: M
Age: 69
State: MD

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data: See response to item 18

Allergies: None

Symptoms: 12 hours following the injection I developed a severe anaphylactic reaction including extreme swelling of lips, tongue, soft palate; difficulty breathing when reclined; difficulty swallowing and difficulty speaking coherently. My wife called 911 and I was transported by ambulance to the ER at Hospital. While enroute I was given epinephrine and Benadryl. I was admitted to the hospital overnight for observation. On February 4th I was evaluated by an allergy specialist who ordered a RAST blood test for food allergies since I had eaten shrimp that day. Tests for all food allergies were negative.

Other Meds: Humalog Levemir Metformin Hydrochlorothiazide Irbesartan Metoprolol Simvastatin Testosterone Aspirin

Current Illness: None

ID: 1020913
Sex: F
Age: 71
State: CA

Vax Date: 01/01/2021
Onset Date: 01/25/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: None

Allergies: Penicillin,

Symptoms: Feeling "drunk" and unbalanced. Went to bed early and felt ok next day except for pain in my arm. I noticed 2 days later there was a rash at the injection site. As a Practitioner, I I do counseling and I've noticed 2-3 people have complained of deep depression that started next day of vaccine and still is ongoing. Concerned about youth, who are already suffering depression, and what this will do to them.

Other Meds: Norvasc, Repatha, CoQ10, E, D, Magnesium, Zinc, Reservatrol, Wellbutrin

Current Illness: none

ID: 1020915
Sex: F
Age: 77
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Sulpha

Symptoms: I had a raging fever of over 102, whole body aches, nausea and vomiting, weakness

Other Meds: Metropolol, Seroquel, Xralto, Clonazapam

Current Illness: none

ID: 1020916
Sex: M
Age: 72
State: MD

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: NO DATA

Allergies: NKDA

Symptoms: PATIENT REPORTED WAKING UP WITH SEVERE MUSCLE PAIN, HEADACHE, SHIVERING, FEVER, PAIN AND NAUSEA THE DAY AFTER THE ADMINISTRATION- PATIENT CALLED PRIMARY TO REPORT SYMPTOMS. PATIENT WAS UNABLE TO PERFORM DAILY FUNCTIONS FOR 5 DAYS. REPORTED FEELING BETTER 2/10/21

Other Meds: DULOXETINE, MELOXICAM, GABAPENTIN, LISINOPRIL, PRAVASTATIN, DIAZEPAM

Current Illness: HX OF COVID POSITIVE TEST END OF 2020

ID: 1020917
Sex: F
Age: 36
State: MI

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: raglan macrobid

Symptoms: Shot given 2-8-2021 Symptoms started 2-10-2021 Body Aches Chills Fever 100.4 Fatigue

Other Meds: wellbutrin 300xl prisriq 50mg prilosec 20mg rizateiptan folic acid

Current Illness:

ID: 1020918
Sex: F
Age: 28
State: FL

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data: 4 EKG- Fine just accelerated heart rate Ultrasound on my heart-Haven't gotten my results yet Waiting on a heart monitor that I have to wear for the next 2 weeks

Allergies: Caplex Lorabid Biaxin Amoxil Megamox

Symptoms: 4 hrs later I got sever tachycardia & its been going on for over a month & I'm having to see a cardiologist. They put me on heart medication but its still accelerated.

Other Meds: Levothyroxine

Current Illness: No

ID: 1020919
Sex: M
Age: 70
State: TX

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital: Y

Lab Data:

Allergies: Penicillin

Symptoms: Temp of 104

Other Meds: Eliquis, atorvastatin, Calcium carbonate, metoprolol

Current Illness:

ID: 1020920
Sex: F
Age: 51
State: TX

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: None

Symptoms: Extreme arm pain. Pain all the way down to the fingertips. Nerve-like pain in hand and fingertips. Cannot move arm without extreme pain.

Other Meds: Welbutrin (150 mg), Celexa (20 mg), Lamictal (100 mg), Toprol (100 mg), Remeron (7 mg)

Current Illness: None

ID: 1020921
Sex: F
Age: 52
State: IN

Vax Date: 01/31/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

Lab Data:

Allergies: Penicillin Cow?s milk protein

Symptoms: Moderate headache for the last 2 days that wakes me up, minimal relief with Tylenol

Other Meds: Multi vitamin Turmeric supplement Vitamin D supplement Omega 3 supplement Probiotic

Current Illness: None

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm